A Guide to Conservative Care for Plantar Fasciitis-Podiatry Today

Dr Brian Fullem, DPM  provides a nice review of the causes and treatments for plantar fasciitis and states:

"By far, the most effective treatment according to the medical evidence is extracorporeal shockwave therapy (ESWT). The new radial ESWT units are portable and one can and should initiate treatment on the initial visit in chronic cases of plantar fasciitis. Shockwave works by inhibiting substance P, which governs pain impulses. The main benefit that helps the tissue is neovascularization of the symptomatic area, which theoretically leads to better perfusion of the area. However, one should not wait until the pain becomes chronic. In fact, shockwave may possibly work better the earlier in the treatment plan that ESWT begins. I would never consider surgery for plantar fasciitis unless the patient has had a course of shockwave therapy."

Here at Rappahannock Foot & Ankle Specialists we offer extracorporeal shockwave therapy (ESWT) in the form of 

Myofascial Acoustic Compression Therapy (MyACT) .

Here's the link to the full article: